SearchIllinois222Q00000X

Amanda Tanaka

NPI 1407257603 · on the registry since 2014 · sole proprietor

Practice

Address
1128 Harrison St Apt 16
Oak Park, IL 60304
Phone
(708) 860-5560

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2014-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois